HomeMy WebLinkAboutBob Hauptly Bid FormsCITY OF WATERLOO, IOWA
CODE ENFORCEMENT DEPARTMENT
BID FORM
for
2017 COMPLAINT MOWINGS WITH COMPLAINT SNOW REMOVAL
8JD[)ER
/,
ADDRESS:
4,'* A'
AIVI r:
- ; U .._
tj J1 - ('
45.-6)70
PHONE: { l ,572570 - 0�l
- The undersigned, being a Corporation existing under the taws of the Stake of Ii`} , or a
limited liability company existing under the laws ofthe State of 4/1+ , or a Partnership
consisting of the following partners: 4/
having been familiarized with the existing conditions on the project area affecting the cost of the
work, and with all the Contract Documents now on file in the offices of the City Clerk, City Hall,
715 Mulberry Street, Waterloo, Iowa, and the Code Enforcement Department, 626 Mulberry
Street, Waterloo, Iowa hereby proposes to furnish all supervision, technical personnel, labor,
materials, machinery, tools, equipment, and services, including utility and transportation services
rcquin d to complete the. proposed COMPLAINT MOWINGS WITH COMPLAINT SNOW
REMOVAL, in accordance with the contract documents and for the unit price in place for the
following amount:
OPTION A: Provide all specified as needed mowing and trimming services for vacant Tots:
50-60 vacant Tots with each lot averaging 0.25 of an acre (totaling 12.5-15 acres per
occurrence)
Price Per O urrence:
dollars ($ ?9. _
OPTION B: Provide all specified as deeded mowing and trimming services on dilapidated
structures.
56 dilapidated structures with each lot averaging 0.25 of an acre (totaling 14 acres
per occurrence)
Price Per Occurrence:
dollars ($ )
SID FORM Page 1 of 3
OPTION C: Provide all specified mowing services for property complaint mowing for
normal residential lots. (under 5 acres)
Price Per Man Hour.
111" _ 'i dollars (S
OPTION D: Provide all specified mowing set -PACES for property complaint mowing for lots
and open areas 5 acres or larger.
Price Per Acre:
0
7
-- dollars ($ e2/9' ..._)
OPTION E: Provide all specified snow removal services for complaint properties.
Price Per Man Hour:
j,rr -_7L/
dollars (S
w
2. It is understood that the quantities set forth are approximate only and subject to variation and
that the unit price for the work done shall govern the actual payment to the Contractor.
3, In submitting this bid, the Bidder understands that the City reserves the right to reject any or all
bids and to award one or more contracts for a single Option, all Options together, or any
combination of Options. lF written notice oFacceptance of this Bid is mailed or delivered to the
undersigned within thirty (30) days after Bid Opening, of at any time thereafter before this bid is
withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form
and furnish the required bond and certificate of insurance within ten (10) days after the agreement
is presented for signature, and start work within ten (10) days after "Notice to Proceed" is issued.
4
4- Security in the sum of ---14;.-421.A,' — c.4-41.4 ''''a- dollars ( ' D' )
in the form of 'rt* r- +' . "r 0 41 t ' , is submitted herewith in accordance with
NOTICE TO BIDDEN
5. Attached is a Non -Collusion Affidavit of Prime Contractor.
6- The Bidder is prepared to submit a financial and experience statement upon request.
7.The Prime Contractor and Subeentractor(s), which have performed an aggregate of $10.000-00
in work for the City in the current calendar year, are prepared to submit an AAP or update and an
FCC, within ten (1 0) days of notification that the bid submitted is lowest and acceptable.
8. The Bidder has received the following Addendum or Addenda:
Addendum No- !' ItDate: 1 1
9- The Bidder shall list the lv1BEIWBE subcontractors, amount of subcontracts and bid items
listed on the City of Waterloo Minority and for Women Business Pre-bid Contract information
Form submitted with this laid Form_ The apparent low bidder shall submit a list of all other
subcontractor(s) to be used on this project to the City of Waterloo by 5700 p,m. the business day
following the day bids on this project are due along with the Non allusion Affidavits of ALL
Subcontractor(s).
BID FL)F.M t'a. 2 of 3
The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer
cannot be changed except for the following reasons.
1_ The City of Waterloo does not approve the subcontractors.
2. The subcontractors submit in writing that they cannot fulfill their subcontracts
10. The Bidder shall list all equipment available for this project: 1
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41.
1. The Bidder has filled in all blanks on this proposal. Those blanks not applicable are marked
"none" or "1VA".
12. The bidder has attached all applicable forms.
13. The owner reserves the right to select alternatives, delete line items, and/or to reduce
quantities prior to the Award of Contract due to budgetary limitations_
SIGNED:
DATE: 1 -1 2-1 1
Name 21
BIIJ FORM Pagt 3 of 3
STATEMENT OF BIDDER*S QUALIFICATIONS
(lo be Submitted by tbe Bidder uuly upon request of thr City of Waterloo, lora.)
All questions shall be answered and the data given must be clear and comprehensive. This statement
must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder
may submit any additional information desired,
� f
1, Name of Bidder.
2_ permanent main L ce address_ + 1 j tte p
014) e„77
3. When organized. 73
4, l f a corporation, where incorporated. IV
5. How many years have you been engaged in the contracting business under your present firm or trade
name? 4/3 +'
6. Contracts on hand; (Schedule these showing amount of each contract and the appropriate anticipated
dates of completion) — c f — 1
7. General character of work performed by your company.
8, Have you ever failed to complete any work awarded to you? If so, where and why? iJ
9. Have you ever defaulted on a contract? If so, where and why? /
10. List the more important projects recently completed by your company, stating the approximate cost
for each, and the month and year completed_ <6,4e- 71-0-44-i"( r k L Jo -D
{,4X k i 4-7 5 k! 1L• 1— i I� c r 4 JT3"�* 1 60 eV i P 'C
11. list your major equipment available fl:tke etrac_ V r0 1 ,
tZ
12_ Experience iri p i.e project. J 9?et,. ✓ 1
cape work sumiar im ortancc to the ect. r
13. Background and experience of the principal members of your organization, including th officers_ s + �
ct7 e KEY. 0 1 v
14. Credit available: $ if 0>
15. dive Bank reference:
1 parr
—14
1 6. Will you, upon request, [fill out a detailed financial statement and furnish any other information that
may be required by the City of Waterloo, Iowa? ;, C
17. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any
information requested by the City of Waterloo, Iowa, in verification of the recitals comprising this
Statement of Bidder's Qualifications,
STATEMENT OF BIDDER'S QUAI,WlCATIONS PAGE i OF 2
Dated this
State
|� )
day of fig ZAK l , 20 /
Name of Bidder
By: (01. i* c " z/
cY
Title: ,e f•
, being duly sworn
depo5ec and says that Aemcis C ager
and ihat the answers to the foregoing questionsand allstatements therei=coB oed arc true and
correct.cr d and sworn to before me lit y of
2 -
Notary Public
commiexpiresssion q
�.� ��
20
�NT OF BIDDER'S QUALIFICATIONS PAGE 2 OF 2
NON -COLLUSION AFFIDAVIT OF PRIME BIDDER
State of 16 Ero}
County of_ L 4 ' }
being first duly sworn, deposes and says that:
1. He erne (Partner), (Officer), (representative), or (Agent) ofd..14'cp , the
Bidder that I,as submitted the attached Bid;
2. He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent
circumstances respecting such Bid;
3. Such Bid is genuine and is not a collusive or sham Bid;
4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees,
or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed,
directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in
connection with the Contract for which the attached Bid has been submitted or to refrain from
bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by
agreement or collusion or communication or conference with any other Bidder, firm or person to fix
the price or prices in the attached Bid or of any other Bidder, or, to fix any overhead, profit or cost
element of the bid price or the bid price of any other Bidder, or to secure through any collusion,
conspiracy, connivance, or unlawful agreement any advantage against the City of Waterloo, Iowa, or
any person interested in the Proposed Contract; and
5. The price or prices quoted in the attached Rid are fair and proper and are not tainted by any
collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its
representatives, owners, employees, or parties in interest, including this affiant.
r
Signature
Title
U.%'.rtbe-4, aAftdieN arm e
" d xy , 2017.,
M epi '
rate,
Y0 I Q
EQUAL OPPORTUNITY CLAUSE
(As provided in Executive Order ! Jo. 11246)
All contractors, subcontractors, vendors and suppliers of goods and services doing business with the City
and value of said business equals or exceeds ten thousand dollars ($10,000.00) annually agree as follows:
1. The contractor, subcontractor, vendor and supplier of goods and services will not discriminate
against any employee or applicant for employment because of race, color, creed, sex, national origin,
economic status, age, trental or physical handicap, political opinions or affiliations. The contractor,
subcontractor, vendor and supplier will develop an Athrmative Action program to ensure that
applicants are employed and that employees are treated during employment without regard to their
race, creed, color, sex, national origin, religion, economic status, age, mental or physical disability,
political opinions or affiliations. Such actions shall include but not be limited to the following:
a, Employment
b, Upgrading
c_ Demotion or Transter
d_ Recruitment and Advertising
e. Layoff or Termination
f Rates of Pay or Other Forms of Compensation
g. Selection for Training Including Apprenticeship.
2, The contractor, subcontractor, vendor and supplier of goods and services will, in all Solicitations or
advertisements for employees, state that all qualified applicants will receive consideration for
employment without regard to race, creed, color, sex, national origin, religion, economic status. age,
mental or physical disabilities, political opinion or affiliations_
3. The contractor, subcontractor, vendor and supplier or his/her collective bargaining representative will
send to each labor union or representative of workers which he/she has a collective bargaining
agreement or other contract or understanding, a notice advising said labor union or workers'
representative of the contractor's commitment under this section.
4, The contractor, subcontractor, vendor and supplier of goods and services will comply with all
published rules, regulations, directives, and order of the City of Waterloo Affirmative Action
Program Contract Compliance Provisions.
5_ The contractor, subcontractor vendor and supplier of goods and services will furnish and file
compliance reports within such time and upon such forms as provided by the Affinmaitive Action
Officer. Said farms will elicit information as to the policies, procedures, patterns, and practices of
each subcontractor as well as the contractor himself/herself and said subcontractor, vendor and
supplier will permit access to his/her employment books, records and accounts to the City's
Affirmative Action Officer, for the purpose of investigation to ascertain compliance with this
contract and with rules and regulations of the City's Affirmative Action Program — Contract
Compliance Provisions relative to Resolution No. 24664
6. lti the event of the contractor's non-compliance with the non-discrimination clauses of this contract
or with any of such rules, regulations and orders, this contract may be canceled, terminated or
suspended in whole or in part and the contractor may be declared ineligible for further contracts in
accordance with procedures authorized by the City Council.
EQUAL OPPORTUNITY OA( ISE Page 1 01-2
7. The contractor, subcontractor, vendor and supplier of goods and services will include, or incorporate
by reference, the provisions of the non-discrimination clause in every contract, subcontract or
purchase order unless exempted by the rules, regulations or orders of the City's Affirmative Action
Program, and will provide in every subcontract, or purchase order that said provisions will be binding
upon each contractor, subcontractor, or supplier.
S. We, the undersigned, recognize that we are morally and legally committed to non-discrimination in
employment. Any person who applies for employment with our company will not be discriminated
against because of race, creed, color, sex, national origin, economic status, age, mental or physical
disabilities.
Signed: L/C4-i
Appropriate Official
Title
-
Date
EQUAL OPPORTUN3TY CLAUSE Paget of 2
PAY
TO THE
ORDER
OF
Roniiiter
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53746
RST amour, 5C4 LAPAE1 TF
EVANS9ALE, IA 5I7 07
STATE DAMN
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4, UNITED BANKERS' BANK
,500 • 150.0.02nd $1. . lakionangtin, MN EA 311 17•In.'9.1 0
Ear 2, 2017
$1,500.00
**Pay ExabtLy"One Thousand Five Hundred and
City of Waterloo
Robert C Haupt1y
Robert C Hauptly
- I
VOID 6 MONTHS AFTER DATE OF ISSUE tt
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53746
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RoberT, C Haup=ly
City -Y Waterloo
"Pay Exac=ly**Orte Thousand Five Hundred and
Mai- 2r 2017
$1,500.00
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